Individual provider Active NPI

Jonathan Pekor

  • Physical Therapist
  • Marlborough, MA
National Provider Identifier
1821343971
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20801 Issued in MA
Practice address
262 E Main St
Marlborough, MA 01752-2669
Phone
(508) 251-1819
Fax
(508) 251-1879
NPI assigned
Jul 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 035186 NY
Physical Therapist 225100000X 20801 MA Primary

Addresses

Primary practice location

262 E Main St
Marlborough, MA 01752-2669

Mailing address

262 E Main St
Marlborough, MA 01752-2669
Phone (508) 251-1819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150407000408 MA Practitioner - Physical Therapist in Private Practice 6608194485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JPPT CorpGroup PAC ID 1052720539, 3 clinicians

Practice addresses (Care Compare)

262 E Main St
Marlborough, MA 01752-2669
Phone (508) 251-1819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20801MAMDDentist
035186NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy, Inc. Physical Therapist CurrentSince Feb 27, 2015 Accepting new patients
JPPT Corp Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Platinum Physical Therapy Services LLC Physical Therapist Past Accepting new patients
Byron V Hartunian MD PC Past Accepting new patients

Locations

99 4th St
#102
Chelsea, MA 02150
Phone (617) 889-2500

99 4th St
Ste 102
Chelsea, MA 02150
Phone (617) 889-2500

262 E Main St
Marlborough, MA 01752
Phone (508) 251-1819

385 Broadway
Ste 201
Revere, MA 02151
Phone (617) 889-2500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1821343971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 E MAIN ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017522669",
            "telephone_number": "508-251-1819",
            "fax_number": "508-251-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 E MAIN ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017522669",
            "telephone_number": "508-251-1819",
            "fax_number": "508-251-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKOR",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035186",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.